| NPI | 1710146626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY R SCHALL Owner/Secretary 661-822-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 3080906) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G58484) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2010-11-10 |